Organization
KOVANDA AESTHETIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER JOHN KOVANDA MD (SOLE MEMBER)
(129) 792-0936
Entity
Organization
Contact information
Practice address
3033 EXCELSIOR BLVD STE 300, MINNEAPOLIS, MN 55416-4675
(612) 979-2093
Mailing address
3033 EXCELSIOR BLVD STE 300, MINNEAPOLIS, MN 55416-4675
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
12/30/2020
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